Individual
DR. DANIEL A WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
715 W COLLEGE ST, LAKE CHARLES, LA 70605-1523
(337) 478-3123
(337) 478-3229
Mailing address
715 W COLLEGE ST, LAKE CHARLES, LA 70605-1523
(337) 478-3123
(337) 478-3229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5219
LA
Other
Enumeration date
07/25/2006
Last updated
12/08/2025
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